Impact of long-term use of oral nutritional supplement on nutritional adequacy, dietary diversity, food intake and growth of Filipino preschool children
Nutrient deficiencies during childhood have adverse effects on child growth and health. In a single-arm 48-week long-term intervention, we previously reported the efficacy of oral nutritional supplementation (ONS) and dietary counselling on catch-up growth and growth maintenance in nutritionally at-...
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Cambridge University Press
2016-01-01
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Series: | Journal of Nutritional Science |
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Online Access: | https://www.cambridge.org/core/product/identifier/S2048679016000069/type/journal_article |
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author | Dieu T. T. Huynh Elvira Estorninos Maria Rosario Capeding Jeffery S. Oliver Yen Ling Low Francisco J. Rosales |
author_facet | Dieu T. T. Huynh Elvira Estorninos Maria Rosario Capeding Jeffery S. Oliver Yen Ling Low Francisco J. Rosales |
author_sort | Dieu T. T. Huynh |
collection | DOAJ |
description | Nutrient deficiencies during childhood have adverse effects on child growth and health. In a single-arm 48-week long-term intervention, we previously reported the efficacy of oral nutritional supplementation (ONS) and dietary counselling on catch-up growth and growth maintenance in nutritionally at-risk Filipino children. The present analysis was done to assess the contributing effects of ONS to nutritional adequacy, dietary diversity, food intake and longitudinal growth. ONS (450 ml) was consumed daily providing 450 kcal (1880 kJ) and at least 50 % of micronutrient requirements among 200 children aged 3–4 years with weight-for-height percentiles between 5th and 25th (WHO Growth Standards). Weight, height and dietary intakes using 24-h food recalls were measured at baseline, and at weeks 4, 8, 16, 24, 32, 40 and 48. Nutrient adequacy and dietary diversity score (DDS) were calculated. Generalised estimating equations were used to assess the effects of total nutrient intakes, DDS, ONS compliance and sociodemographic factors on longitudinal growth. The percentages of children with adequate intake of energy, protein, Fe, Ca and some vitamins at each post-baseline visit were improved from baseline, reaching 100 % for most nutrients. DDS was also increased from baseline and reached significance from week 16 onwards (P < 0·01). Male children, total energy intake and parental employment status were associated with weight-for-height percentile gain (P < 0·05), whereas higher parental education level and ONS compliance were significantly associated with height-for-age percentile gain over time (P < 0·05). Long-term ONS intervention did not interfere with normal food intake and helped promote nutritional adequacy and growth of Filipino children. |
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issn | 2048-6790 |
language | English |
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spelling | doaj.art-10f8bc84e60b4c83954d8d19b0ef3c622023-03-09T12:38:50ZengCambridge University PressJournal of Nutritional Science2048-67902016-01-01510.1017/jns.2016.6Impact of long-term use of oral nutritional supplement on nutritional adequacy, dietary diversity, food intake and growth of Filipino preschool childrenDieu T. T. Huynh0Elvira Estorninos1Maria Rosario Capeding2Jeffery S. Oliver3Yen Ling Low4Francisco J. Rosales5Abbott Laboratories, Abbott Nutrition Research & Development, Asia-Pacific Centre, SingaporeAsian Hospital and Medical Centre, Manila, PhilippinesAsian Hospital and Medical Centre, Manila, PhilippinesAbbott Laboratories, Scientific and Medical Affairs, Abbott Nutrition, Columbus, OH, USAAbbott Laboratories, Abbott Nutrition Research & Development, Asia-Pacific Centre, SingaporeAbbott Laboratories, Scientific and Medical Affairs, Abbott Nutrition, Columbus, OH, USANutrient deficiencies during childhood have adverse effects on child growth and health. In a single-arm 48-week long-term intervention, we previously reported the efficacy of oral nutritional supplementation (ONS) and dietary counselling on catch-up growth and growth maintenance in nutritionally at-risk Filipino children. The present analysis was done to assess the contributing effects of ONS to nutritional adequacy, dietary diversity, food intake and longitudinal growth. ONS (450 ml) was consumed daily providing 450 kcal (1880 kJ) and at least 50 % of micronutrient requirements among 200 children aged 3–4 years with weight-for-height percentiles between 5th and 25th (WHO Growth Standards). Weight, height and dietary intakes using 24-h food recalls were measured at baseline, and at weeks 4, 8, 16, 24, 32, 40 and 48. Nutrient adequacy and dietary diversity score (DDS) were calculated. Generalised estimating equations were used to assess the effects of total nutrient intakes, DDS, ONS compliance and sociodemographic factors on longitudinal growth. The percentages of children with adequate intake of energy, protein, Fe, Ca and some vitamins at each post-baseline visit were improved from baseline, reaching 100 % for most nutrients. DDS was also increased from baseline and reached significance from week 16 onwards (P < 0·01). Male children, total energy intake and parental employment status were associated with weight-for-height percentile gain (P < 0·05), whereas higher parental education level and ONS compliance were significantly associated with height-for-age percentile gain over time (P < 0·05). Long-term ONS intervention did not interfere with normal food intake and helped promote nutritional adequacy and growth of Filipino children.https://www.cambridge.org/core/product/identifier/S2048679016000069/type/journal_articleLong-term supplementationOral nutritional supplementationNutritional adequacyDietary diversityLongitudinal growth |
spellingShingle | Dieu T. T. Huynh Elvira Estorninos Maria Rosario Capeding Jeffery S. Oliver Yen Ling Low Francisco J. Rosales Impact of long-term use of oral nutritional supplement on nutritional adequacy, dietary diversity, food intake and growth of Filipino preschool children Journal of Nutritional Science Long-term supplementation Oral nutritional supplementation Nutritional adequacy Dietary diversity Longitudinal growth |
title | Impact of long-term use of oral nutritional supplement on nutritional adequacy, dietary diversity, food intake and growth of Filipino preschool children |
title_full | Impact of long-term use of oral nutritional supplement on nutritional adequacy, dietary diversity, food intake and growth of Filipino preschool children |
title_fullStr | Impact of long-term use of oral nutritional supplement on nutritional adequacy, dietary diversity, food intake and growth of Filipino preschool children |
title_full_unstemmed | Impact of long-term use of oral nutritional supplement on nutritional adequacy, dietary diversity, food intake and growth of Filipino preschool children |
title_short | Impact of long-term use of oral nutritional supplement on nutritional adequacy, dietary diversity, food intake and growth of Filipino preschool children |
title_sort | impact of long term use of oral nutritional supplement on nutritional adequacy dietary diversity food intake and growth of filipino preschool children |
topic | Long-term supplementation Oral nutritional supplementation Nutritional adequacy Dietary diversity Longitudinal growth |
url | https://www.cambridge.org/core/product/identifier/S2048679016000069/type/journal_article |
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